Operation i neih ngai tawh em? A nih loh leh nakin lawkah neih i tum em? Chutiang huna kan hlauh ber chu operation hnua natna lo thleng hi a ni. Mahse tunah chuan medical science lama hmasawnna avang hian he natna hi thunun theih dan kawng tam tak a awm ta. Awle, vawiinah hian ni engemaw zat operation hnua natna lo awm thin control thei damdawi bik kan sawi dawn a ni.
He Bupivacaine implant hi eng nge ni?
A awlsam zawngin sawi ila, hei hi numbing damdawi a ni a, operation hnua natna lo awm thin tihtawp nan pek thin a ni. Ha lakchhuah hmaa i hmui i tiharh ang bawkin, he damdawi hian surgery neihna hmun vel vun leh tissue te chu a ti ti na hle. Mahse, anesthetic injection pangngai ang a ni lo.
He damdawi (Liposomal Bupivacaine) hi ‘implant’ te tak te, nem tak angin a rawn thleng a. Hernia operation i nei tih han ngaihtuah teh. Surgeon chuan he damdawi chi hi hliam chhungah hian operation zawh hnuah leh hliam chu a sew up hmain a dah thin. Hemi chungchanga thil danglam bik chu ni engemaw zat chhungin natna tidamtu chu taksaah a chhuah zawi zawi a ni. Hei hian ni 2-3 chhung zet a zawna operation natna atang hian hahdamna nasa tak i hmu tihna a ni. Hemi atana brand hming thenkhat chu `Xaracoll` tih te hi a ni.
He damdawi hi i doctor-in a pek hmaa a hriat tur thilte
Hei hi damdawi ina pek ni mahse, doctor hnenah i hriselna dinhmun kimchang taka sawi a pawimawh hle a , he damdawi hi damdawi lam dinhmun thenkhat nen a inmil lo thei a ni.
Heng thilte hi i doctor hnenah hrilh ngei ang che:
- Tun hmaa Bupivacaine emaw anesthetic damdawi dang emaw allergy i neih tawh chuan.
- Lung natna, thin natna, kal natna i neih chuan.
- Thisen lama harsatna i neih chuan G6PD tlakchhamna i nei a nih chuan.
- Thluak lam natna, Asthma ang chi i neih chuan.
- Thisen sang i neih chuan.
- Naupai i nih chuan, nau pai tum i nih chuan, nau hnute i pe a nih chuan.
He thu hi thup lovin i doctor hnena hrilh hi nangmah ngei pawhin i himna atan a pawimawh hle a, a chhan chu heng damdawi chi hrang hrang nena i hman hian fimkhur a ngai hle a ni.
He damdawi hi engtin nge kan hman ang?
Hei hi damdawi in lama hruai theih a ni lo. Hei hi damdawi in emaw clinic emaw a operation neih laiin doctor in surgical site a a dah thin thil a ni . Chuvangin dose pakhat hloh emaw, ei tam lutuk emaw ngaihtuah a ngai lo.
He damdawi avanga natna danglam bik i tawk tih i hriat thut chuan doctor emaw nurse emaw hnenah hriattir nghal rawh. Damdawi eng pawh overdose i rinhlelh chuan, kan ramah hian Colombo National Hospital-a National Poison Information Center-ah direct-in i call tur a ni. Tin, damdawi inah i awm a nih chuan a tha ber chu Emergency Treatment Unit (ETU) ah kal nghal mai tur a ni.
Damdawi dangah harsatna a awm thei em? (Drug nena inzawmna) .
Ni e, damdawi thenkhat hi Bupivacaine nen hian an inzawm thei a ni. Chuvangin, i damdawi ei zawng zawng, i doctor-in a pek ang chauh ni lovin, over-the-counter damdawi, vitamin leh herbal products te pawh i surgery hmain i doctor hnenah i hriattir tur a ni.
| Ruihhlo chi hrang hrang | Entirnan |
|---|---|
| Numbing damdawi dang | Lidocaine, Tetracaine tih te hi a awm bawk |
| Antibiotics thenkhat | Dapsone, Nitrofurantoin, Sulfonamides te a awm bawk |
| Seizure damdawi | Phenobarbital, Phenytoin tih a ni |
| Natna tihdamna damdawi | Acetaminophen (Paracetamol) hmanga siam a ni. |
| Lung natna damdawi | Nitroglycerin, Nitroprusside tih a ni |
| Damdawi dang | Chloroquine, Quinine, Metoclopramide, Sulfasalazine te a awm bawk |
Damdawi ei huna fimkhur tur thil
He damdawi hian a thawh lai hian fimkhur hle a ngai a, chu chu operation an tihna hmun chu a hring vek lai a ni. I pum surgery i neih tawh a, he damdawi hi pek che i ni ang tih han ngaihtuah teh. Chu hmun chu a numb avangin chutah chuan engmah hit, press, leh hliam tuar i hre lo. Chuvang chuan chu hmun chu a hliam loh nan leh chhiatna a thlen loh nan enkawl chu i mawhphurhna a ni .
A side effects te chu engte nge ni?
Damdawi dang ang bawkin he damdawi hian side effect engemaw zat a nei thei a ni. Ṭhenkhat chu a serious a, a then chu a common.
| Side effect na tak tak, i doctor emaw ETU emaw hnenah report nghal tur a ni | |
|---|---|
| Allergic Reaction awm thei te | Vun vun rawng, hnim hring, hmai, hmui emaw lei emaw a hring, thawk harsa. |
| Heart rate a inthlak danglam thin | Chhuak na, luak chhuak, thinlung thawk chak emaw, mumal lo emaw, muhil. |
| Nervous system lama harsatna a awm | Seizures , khur chhuak. |
| Methemoglobinemia natna lan chhuah dan | Vun dum, grey emaw blue emaw, lu na, thinlung na rang, thawk harsa, hah lutuk. |
| Side effects nasat loh tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
| Thil dang pawh a awm | Lu na, khawsik, hahdam lo, ka chhunga thlum inthlak danglam, mit hmuh dan inthlak danglam. |
Take-Home Thuchah a ni
- Bupivacaine implant hi damdawi bik a ni a, operation neih laiin hliam bulah dah a ni a, ni engemaw zat chhung natna a control thei a ni.
- Hei hi damdawi in lama hruai theih a ni lo. Damdawi inah doctor in a hmang thin.
- I damdawi lam dinhmun zawng zawng leh i ei tur damdawi dang zawng zawng chu operation hmaa i doctor hnenah i hrilh hmasak phawt a pawimawh hle.
- Allergy na tak, thawk harsa, seizures , emaw, thinlung thawk dan pangngai lo ang chi symptoms i neih chuan doctor lam pan nghal rawh.
- Damdawi in a nghawng avanga i taksa peng pakhat a lo hrual chuan chu hmun chu hliam laka venhim turin fimkhur hle ang che.
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